ROLANDINE VAUGHAN PAC NPI 1225284367

NPI Information

  • NPI: 1225284367
  • Provider Name: ROLANDINE VAUGHAN, PAC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1862 AUBURN RD STE 118-X1
    DACULA, GA
    ZIP 30019
  • Phone: (404) 906-6985

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NPI Details

Rolandine Vaughan, PAC is a physician assistant in Dacula, GA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Rolandine Vaughan, PAC NPI is 1225284367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1862 AUBURN RD STE 118-X1
DACULA, GA
ZIP 30019-676
Phone: (404) 906-6985
Fax: (678) 302-7377

The NPI 1225284367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 3/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist005982GEORGIANo
2363A00000XPhysician Assistant0110002860VIRGINIANo
3363A00000XPhysician Assistant005982GEORGIANo
4363A00000XPhysician AssistantNo
5363A00000XPhysician Assistant10004230AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100429217DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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